EDI Technical Product Manager

This is a fully remote position, open to applicants in United States.

📋 Description

• Define and enhance the vision, strategy, and long-term roadmap for EDI products.

• Develop business cases, success metrics, and ROI analyses to inform prioritization and investment decisions.

• Keep abreast of industry trends, CMS/state requirements, and interoperability standards such as X12, APIs, and FHIR.

• Convert business, regulatory, and integration needs into user stories and technical specifications.

• Establish data mapping, validation business rules, error handling flows, and downstream integration points.

• Collaborate with architecture, engineering, QA, and DevOps teams on solution design, technical feasibility, and deployment processes.

• Manage and prioritize the EDI product backlog.

• Facilitate sprint planning, feature readiness, and release coordination.

• Identify and eliminate obstacles hindering engineering throughput or trading partner readiness.

• Align technical teams, trading partners, clearinghouses, and internal business units.

• Lead discovery sessions, refinement cycles, data exchange walkthroughs, and post-implementation evaluations.

• Enhance partner usability and operational efficiency through system improvements, automation, and monitoring.

• Analyze transaction performance, defect trends, operational SLAs, and platform telemetry.

• Define and monitor KPIs/OKRs such as transaction throughput, first-pass acceptance rate, error volume, partner onboarding speed, and system reliability.

• Promote continuous improvement in observability, error reconciliation, and data integrity.

• Maintain comprehensive product documentation, functional requirements, user guides, and integration specifications.

• Contribute to the establishment of technical standards, EDI governance frameworks, and best practices for onboarding, testing, and release.

• Ensure that solutions adhere to HIPAA, state Medicaid requirements, data privacy standards, and CareSource security guidelines.

• Perform additional job-related tasks as assigned.

⛳️ Requirements

• A Bachelor's degree in computer science or a related field is required.

• Equivalent years of relevant work experience may be considered in lieu of the required education.

• A minimum of five (5) years of experience in product management or a related field is required.

• A solid understanding of EDI technologies and integration platforms is essential.

• Familiarity with Agile methodologies and product development life cycles is expected.

• Proficiency in software development or engineering is required.

• Understanding of the healthcare industry and its ecosystem, including future developments, is important.

• Extensive knowledge of industry-relevant interoperability standards is necessary.

• Excellent verbal and written communication skills are required.

• Strong analytical and problem-solving abilities are essential.

• Ability to adapt to rapidly evolving technologies and market conditions is necessary.

• An innovative mindset focused on enhancing capabilities and interoperability is vital.

• Knowledge of AI technologies, machine learning models, and ethical considerations in AI deployment is preferred.

• Certifications in core technical systems such as Edifecs, Facets, Cloud, AI, or similar enterprise systems are advantageous.

• Certifications in Agile, SAFE, or roles related to Business or Product Ownership are preferred.

🏝️ Benefits

• A bonus linked to company and individual performance may be available.

• A substantial and comprehensive total rewards package is offered.

• Employee total well-being support is provided.